LONG-TERM RESULTS OF NEPHRON SPARING SURGERY FOR LOCALIZED RENAL CELL CARCINOMA: 10-YEAR FOLLOWUP

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Feb 2000LONG-TERM RESULTS OF NEPHRON SPARING SURGERY FOR LOCALIZED RENAL CELL CARCINOMA: 10-YEAR FOLLOWUP Amr F. Fergany, Khaled S. Hafez, and Andrew C. Novick Amr F. FerganyAmr F. Fergany More articles by this author , Khaled S. HafezKhaled S. Hafez More articles by this author , and Andrew C. NovickAndrew C. Novick More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67896-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Partial nephrectomy is effective for renal cell carcinoma when preservation of renal function is a concern. We present the 10-year followup of patients treated with nephron sparing surgery at our institution. Materials and Methods: Partial nephrectomy was performed in 107 patients with localized sporadic renal cell carcinoma before December 1988. Tumors were symptomatic in 73 patients (68%) and indications for surgery were imperative in 96 (90%). Of the patients 42 (39%) had renal insufficiency preoperatively. All patients were followed a minimum of 10 years or until death. Results: At the end of the followup interval 32 patients (30%) had no evidence of recurrence, 28 (26%) died of metastatic renal cell carcinoma and 46 (42%) died of unrelated causes. Cancer specific survival was 88.2% at 5 and 73% at 10 years, and was significantly affected by tumor stage, symptoms, tumor laterality and tumor size. Long-term renal function was stable in 52 patients (49%). Conclusions: Partial nephrectomy is effective for localized renal cell carcinoma, providing long-term tumor control with preservation of renal function. References 1 : Nephron sparing surgery for renal cell carcinoma. J Urol1993; 149: 1. Link, Google Scholar 2 : Progression and survival after renal-conserving surgery for renal cell carcinoma: experience in 104 patients and extended followup. J Urol1990; 144: 852. Link, Google Scholar 3 : Clinical experience with nephron-sparing surgery in the presence of a normal contralateral kidney. Semin Urol Oncol1995; 13: 288. Google Scholar 4 : Partial nephrectomy for unilateral renal carcinoma and a normal contralateral kidney: 10-year followup. J Urol1999; 161: 33. Link, Google Scholar 5 : Renal cell carcinoma: earlier discovery and increased detection. Radiology1989; 170: 699. Crossref, Medline, Google Scholar 6 : Nephron sparing surgery in incidental versus suspected renal cell carcinoma. J Urol1994; 152: 39. Link, Google Scholar 7 : Management of small unilateral renal cell carcinomas: radical versus nephron-sparing surgery. Urology1995; 45: 34. Crossref, Medline, Google Scholar 8 : Patterns of tumor recurrence and guidelines for followup after nephron sparing surgery for sporadic renal cell carcinoma. J Urol1997; 157: 2067. Link, Google Scholar 9 : TNM Classification of Malignant Tumors, 5th ed. Union Internationale Contre le Cancer and the American Joint Committee on Cancer. Cancer1997; 80: 1803. Google Scholar 10 : TNM staging of renal cell carcinoma. Workgroup No. 3. Union International Contre le Cancer (UICC) and the American Joint Committee on Cancer (AJCC). Cancer1997; 80: 992. Google Scholar 11 : Surgical technique and morbidity of elective partial nephrectomy. Semin Urol Oncol1995; 13: 281. Medline, Google Scholar 12 : The National Cancer Data Base: report on kidney cancers. Cancer1997; 80: 2167. Google Scholar From the Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byLaguna M (2020) Re: Prediction of Significant Estimated Glomerular Filtration Rate Decline after Renal Unit Removal to Aid in the Clinical Choice between Radical and Partial Nephrectomy in Patients with a Renal Mass and Normal Renal FunctionJournal of Urology, VOL. 204, NO. 1, (181-181), Online publication date: 1-Jul-2020.Laguna M (2018) Re: Oncologic Outcomes of Patients with Positive Surgical Margin after Partial Nephrectomy: A 25-Year Single Institution ExperienceJournal of Urology, VOL. 201, NO. 1, (27-28), Online publication date: 1-Jan-2019.Laguna M (2017) Re: Findings and Impact of Early Imaging after Partial NephrectomyJournal of Urology, VOL. 198, NO. 2, (253-254), Online publication date: 1-Aug-2017.Mouracade P, Kara O, Maurice M, Dagenais J, Malkoc E, Nelson R and Kaouk J (2016) Patterns and Predictors of Recurrence after Partial Nephrectomy for Kidney TumorsJournal of Urology, VOL. 197, NO. 6, (1403-1409), Online publication date: 1-Jun-2017.Laguna M (2016) Re: Five-Year Oncologic Outcomes after Transperitoneal Robotic Partial Nephrectomy for Renal Cell CarcinomaJournal of Urology, VOL. 196, NO. 5, (1398-1398), Online publication date: 1-Nov-2016.Lay A, Faddegon S, Olweny E, Morgan M, Lorber G, Trimmer C, Leveillee R, Cadeddu J and Gahan J (2015) Oncologic Efficacy of Radio Frequency Ablation for Small Renal Masses: Clear Cell vs Papillary SubtypeJournal of Urology, VOL. 194, NO. 3, (653-657), Online publication date: 1-Sep-2015.Ploussard G, Haddad R, Loutochin O, Bera R, Cabrera T, Malibari N, Scarlata E, Derbekyan V, Bladou F and Anidjar M (2014) A Combination of Hemostatic Agents May Safely Replace Deep Medullary Suture during Laparoscopic Partial Nephrectomy in a Pig ModelJournal of Urology, VOL. 193, NO. 1, (318-324), Online publication date: 1-Jan-2015.Tan H, Wolf J, Ye Z, Hafez K and Miller D (2013) Population Level Assessment of Hospital Based Outcomes Following Laparoscopic Versus Open Partial Nephrectomy During the Adoption of Minimally Invasive SurgeryJournal of Urology, VOL. 191, NO. 5, (1231-1237), Online publication date: 1-May-2014.Khalifeh A, Kaouk J, Bhayani S, Rogers C, Stifelman M, Tanagho Y, Kumar R, Gorin M, Sivarajan G, Samarasekera D and Allaf M (2013) Positive Surgical Margins in Robot-Assisted Partial Nephrectomy: A Multi-Institutional Analysis of Oncologic Outcomes (Leave No Tumor Behind)Journal of Urology, VOL. 190, NO. 5, (1674-1679), Online publication date: 1-Nov-2013.Lane B, Campbell S and Gill I (2013) 10-Year Oncologic Outcomes After Laparoscopic and Open Partial NephrectomyJournal of Urology, VOL. 190, NO. 1, (44-49), Online publication date: 1-Jul-2013.Panumatrassamee K, Kaouk J, Autorino R, Lenis A, Laydner H, Isac W, Long J, Eyraud R, Kassab A, Khalifeh A, Hillyer S, Rizkala E, Haber G and Stein R (2012) Cryoablation Versus Minimally Invasive Partial Nephrectomy for Small Renal Masses in the Solitary Kidney: Impact of Approach on Functional OutcomesJournal of Urology, VOL. 189, NO. 3, (818-822), Online publication date: 1-Mar-2013.Tanagho Y, Figenshau R, Sandhu G and Bhayani S (2012) Is There a Financial Disincentive to Perform Partial Nephrectomy?Journal of Urology, VOL. 187, NO. 6, (1995-1999), Online publication date: 1-Jun-2012.Choi J, Park J, Lee S, Jeong B, Jeon S, Lee H, Choi H and Seo S (2012) Does Prolonged Warm Ischemia After Partial Nephrectomy Under Pneumoperitoneum Cause Irreversible Damage to the Affected Kidney?Journal of Urology, VOL. 187, NO. 3, (802-806), Online publication date: 1-Mar-2012.Ohno Y, Nakashima J, Ohori M, Hashimoto T, Iseki R, Hatano T and Tachibana M (2011) Impact of Tumor Size on Renal Function and Prediction of Renal Insufficiency After Radical Nephrectomy in Patients With Renal Cell CarcinomaJournal of Urology, VOL. 186, NO. 4, (1242-1246), Online publication date: 1-Oct-2011.Weight C, Atwell T, Fazzio R, Kim S, Kenny M, Lohse C, Boorjian S, Leibovich B and Thompson R (2011) A Multidisciplinary Evaluation of Inter-Reviewer Agreement of the Nephrometry Score and the Prediction of Long-Term OutcomesJournal of Urology, VOL. 186, NO. 4, (1223-1228), Online publication date: 1-Oct-2011.Song C, Park S, Jeong I, Hong J, Park H, Kim C and Ahn H (2011) Followup of Unilateral Renal Function After Laparoscopic Partial NephrectomyJournal of Urology, VOL. 186, NO. 1, (53-58), Online publication date: 1-Jul-2011.Minervini A, Ficarra V, Rocco F, Antonelli A, Bertini R, Carmignani G, Cosciani Cunico S, Fontana D, Longo N, Martorana G, Mirone V, Morgia G, Novara G, Roscigno M, Schiavina R, Serni S, Simeone C, Simonato A, Siracusano S, Volpe A, Zattoni F, Zucchi A and Carini M (2011) Simple Enucleation is Equivalent to Traditional Partial Nephrectomy for Renal Cell Carcinoma: Results of a Nonrandomized, Retrospective, Comparative StudyJournal of Urology, VOL. 185, NO. 5, (1604-1610), Online publication date: 1-May-2011.Schwartz M and Kavoussi L (2010) The Evolution of Renal Surgery for MalignancyJournal of Urology, VOL. 184, NO. 4, (1251-1252), Online publication date: 1-Oct-2010.Lowrance W, Yee D, Savage C, Cronin A, O'Brien M, Donat S, Vickers A and Russo P (2010) Complications After Radical and Partial Nephrectomy as a Function of AgeJournal of Urology, VOL. 183, NO. 5, (1725-1730), Online publication date: 1-May-2010.Weight C, Larson B, Fergany A, Gao T, Lane B, Campbell S, Kaouk J, Klein E and Novick A (2010) Nephrectomy Induced Chronic Renal Insufficiency is Associated With Increased Risk of Cardiovascular Death and Death From Any Cause in Patients With Localized cT1b Renal MassesJournal of Urology, VOL. 183, NO. 4, (1317-1323), Online publication date: 1-Apr-2010.Aron M, Kamoi K, Remer E, Berger A, Desai M and Gill I (2010) Laparoscopic Renal Cryoablation: 8-Year, Single Surgeon OutcomesJournal of Urology, VOL. 183, NO. 3, (889-895), Online publication date: 1-Mar-2010.Breau R, Crispen P, Jimenez R, Lohse C, Blute M and Leibovich B (2010) Outcome of Stage T2 or Greater Renal Cell Cancer Treated With Partial NephrectomyJournal of Urology, VOL. 183, NO. 3, (903-908), Online publication date: 1-Mar-2010.Lane B and Gill I (2009) 7-Year Oncological Outcomes After Laparoscopic and Open Partial NephrectomyJournal of Urology, VOL. 183, NO. 2, (473-479), Online publication date: 1-Feb-2010.Abouassaly R, Alibhai S, Tomlinson G, Timilshina N and Finelli A (2009) Unintended Consequences of Laparoscopic Surgery on Partial Nephrectomy for Kidney CancerJournal of Urology, VOL. 183, NO. 2, (467-472), Online publication date: 1-Feb-2010.Moinzadeh A, Flacke S, Libertino J, Merhige J, Vogel J, Lyall K, Bakal C and Madras P (2009) Temporary Segmental Renal Artery Occlusion Using Reverse Phase Polymer for Bloodless Robotic Partial NephrectomyJournal of Urology, VOL. 182, NO. 4, (1582-1587), Online publication date: 1-Oct-2009.O'Malley R, Godoy G, Kanofsky J and Taneja S (2009) The Necessity of Adrenalectomy at the Time of Radical Nephrectomy: A Systematic ReviewJournal of Urology, VOL. 181, NO. 5, (2009-2017), Online publication date: 1-May-2009.Huang W, Elkin E, Levey A, Jang T and Russo P (2008) Partial Nephrectomy Versus Radical Nephrectomy in Patients With Small Renal Tumors—Is There a Difference in Mortality and Cardiovascular Outcomes?Journal of Urology, VOL. 181, NO. 1, (55-62), Online publication date: 1-Jan-2009.Crispen P, Boorjian S, Lohse C, Sebo T, Cheville J, Blute M and Leibovich B (2008) Outcomes Following Partial Nephrectomy by Tumor SizeJournal of Urology, VOL. 180, NO. 5, (1912-1917), Online publication date: 1-Nov-2008.Levinson A, Su L, Agarwal D, Sroka M, Jarrett T, Kavoussi L and Solomon S (2008) Long-Term Oncological and Overall Outcomes of Percutaneous Radio Frequency Ablation in High Risk Surgical Patients With a Solitary Small Renal MassJournal of Urology, VOL. 180, NO. 2, (499-504), Online publication date: 1-Aug-2008.Jewett M and Zuniga A (2008) Who Will Fail Local Therapy for Renal Cell CarcinomaJournal of Urology, VOL. 179, NO. 6, (2087-2088), Online publication date: 1-Jun-2008.Bensalah K, Tuncel A, Peshwani D, Zeltser I, Liu H and Cadeddu J (2008) Optical Reflectance Spectroscopy to Differentiate Renal Tumor From Normal ParenchymaJournal of Urology, VOL. 179, NO. 5, (2010-2013), Online publication date: 1-May-2008.Weight C, Kaouk J, Hegarty N, Remer E, O’Malley C, Lane B, Gill I and Novick A (2008) Correlation of Radiographic Imaging and Histopathology Following Cryoablation and Radio Frequency Ablation for Renal TumorsJournal of Urology, VOL. 179, NO. 4, (1277-1283), Online publication date: 1-Apr-2008.Sharma N, O’Hara J, Novick A, Lieber M, Remer E and Herts B (2008) Correlation Between Loss of Renal Function and Loss of Renal Volume After Partial Nephrectomy for Tumor in a Solitary KidneyJournal of Urology, VOL. 179, NO. 4, (1284-1288), Online publication date: 1-Apr-2008.Navarro A, Sohrabi S, Colechin E, Griffiths C, Talbot D and Soomro N (2008) Evaluation of the Ischemic Protection Efficacy of a Laparoscopic Renal Cooling Device Using Renal Transplantation Viability Assessment Criteria in a Porcine ModelJournal of Urology, VOL. 179, NO. 3, (1184-1189), Online publication date: 1-Mar-2008.Lucas S, Stern J, Adibi M, Zeltser I, Cadeddu J and Raj G (2007) Renal Function Outcomes in Patients Treated for Renal Masses Smaller Than 4 cm by Ablative and Extirpative TechniquesJournal of Urology, VOL. 179, NO. 1, (75-80), Online publication date: 1-Jan-2008.Breda A, Stepanian S, Liao J, Lam J, Guazzoni G, Stifelman M, Perry K, Celia A, Breda G, Fornara P, Jackman S, Rosales A, Palou J, Grasso M, Pansadoro V, Disanto V, Porpiglia F, Milani C, Abbou C, Gaston R, Janetschek G, Soomro N, de la Rosette J, Laguna M and Schulam P (2007) Positive Margins in Laparoscopic Partial Nephrectomy in 855 Cases: A Multi-Institutional Survey From the United States and EuropeJournal of Urology, VOL. 178, NO. 1, (47-50), Online publication date: 1-Jul-2007.Lane B and Gill I (2018) 5-Year Outcomes of Laparoscopic Partial NephrectomyJournal of Urology, VOL. 177, NO. 1, (70-74), Online publication date: 1-Jan-2007.Punnen S, Haider M, Lockwood G, Moulding F, O’Malley M and Jewett M (2018) Variability in Size Measurement of Renal Masses Smaller Than 4 cm on Computerized TomographyJournal of Urology, VOL. 176, NO. 6, (2386-2390), Online publication date: 1-Dec-2006.Permpongkosol S, Bagga H, Romero F, Sroka M, Jarrett T and Kavoussi L (2018) Laparoscopic Versus Open Partial Nephrectomy for the Treatment of Pathological T1N0M0 Renal Cell Carcinoma: A 5-Year Survival RateJournal of Urology, VOL. 176, NO. 5, (1984-1989), Online publication date: 1-Nov-2006.Krambeck A, Leibovich B, Lohse C, Kwon E, Zincke H and Blute M (2018) The Role of Nephron Sparing Surgery for Metastatic (pM1) Renal Cell CarcinomaJournal of Urology, VOL. 176, NO. 5, (1990-1995), Online publication date: 1-Nov-2006.Schlomer B, Figenshau R, Yan Y, Venkatesh R and Bhayani S (2018) Pathological Features of Renal Neoplasms Classified by Size and SymptomatologyJournal of Urology, VOL. 176, NO. 4, (1317-1320), Online publication date: 1-Oct-2006.Caruso R, Phillips C, Kau E, Taneja S and Stifelman M (2018) Robot Assisted Laparoscopic Partial Nephrectomy: Initial ExperienceJournal of Urology, VOL. 176, NO. 1, (36-39), Online publication date: 1-Jul-2006.Fergany A, Saad I, Woo L and Novick A (2018) Open Partial Nephrectomy for Tumor in a Solitary Kidney: Experience With 400 CasesJournal of Urology, VOL. 175, NO. 5, (1630-1633), Online publication date: 1-May-2006.Lawatsch E, Langenstroer P, Byrd G, See W, Quiroz F and Begun F (2018) Intermediate Results of Laparoscopic Cryoablation in 59 Patients at the Medical College of WisconsinJournal of Urology, VOL. 175, NO. 4, (1225-1229), Online publication date: 1-Apr-2006.Miller D, Hollingsworth J, Hafez K, Daignault S and Hollenbeck B (2018) Partial Nephrectomy for Small Renal Masses: An Emerging Quality of Care Concern?Journal of Urology, VOL. 175, NO. 3, (853-858), Online publication date: 1-Mar-2006.Gill I, Colombo J, Moinzadeh A, Finelli A, Ukimura O, Tucker K, Kaouk J and Desai M (2018) Laparoscopic Partial Nephrectomy in Solitary KidneyJournal of Urology, VOL. 175, NO. 2, (454-458), Online publication date: 1-Feb-2006.Moinzadeh A, Gill I, Finelli A, Kaouk J and Desai M (2018) Laparoscopic Partial Nephrectomy: 3-Year FollowupJournal of Urology, VOL. 175, NO. 2, (459-462), Online publication date: 1-Feb-2006.Hollenbeck B, Taub D, Miller D, Dunn R and Wei J (2018) Use of Nephrectomy at Select Medical Centers—A Case of Follow the Crowd?Journal of Urology, VOL. 175, NO. 2, (670-674), Online publication date: 1-Feb-2006.THOMPSON R, LEIBOVICH B, LOHSE C, ZINCKE H and BLUTE M (2018) COMPLICATIONS OF CONTEMPORARY OPEN NEPHRON SPARING SURGERY: A SINGLE INSTITUTION EXPERIENCEJournal of Urology, VOL. 174, NO. 3, (855-858), Online publication date: 1-Sep-2005.NG C, GILL I, RAMANI A, STEINBERG A, SPALIVIERO M, ABREU S, KAOUK J and DESAI M (2018) TRANSPERITONEAL VERSUS RETROPERITONEAL LAPAROSCOPIC PARTIAL NEPHRECTOMY: PATIENT SELECTION AND PERIOPERATIVE OUTCOMESJournal of Urology, VOL. 174, NO. 3, (846-849), Online publication date: 1-Sep-2005.MOINZADEH A, HASAN W, SPALIVIERO M, FINELLI A, KILCILER M, MAGI-GALLUZZI C, EL GABRY E, DESAI M, KAOUK J and GILL I (2018) WATER JET ASSISTED LAPAROSCOPIC PARTIAL NEPHRECTOMY WITHOUT HILAR CLAMPING IN THE CALF MODELJournal of Urology, VOL. 174, NO. 1, (317-321), Online publication date: 1-Jul-2005.PORPIGLIA F, FIORI C, TERRONE C, BOLLITO E, FONTANA D and SCARPA R (2018) ASSESSMENT OF SURGICAL MARGINS IN RENAL CELL CARCINOMA AFTER NEPHRON SPARING: A COMPARATIVE STUDYJournal of Urology, VOL. 173, NO. 4, (1098-1101), Online publication date: 1-Apr-2005.HERR H (2018) A HISTORY OF PARTIAL NEPHRECTOMY FOR RENAL TUMORSJournal of Urology, VOL. 173, NO. 3, (705-708), Online publication date: 1-Mar-2005.BANI-HANI A, LEIBOVICH B, LOHSE C, CHEVILLE J, ZINCKE H and BLUTE M (2018) ASSOCIATIONS WITH CONTRALATERAL RECURRENCE FOLLOWING NEPHRECTOMY FOR RENAL CELL CARCINOMA USING A COHORT OF 2,352 PATIENTSJournal of Urology, VOL. 173, NO. 2, (391-394), Online publication date: 1-Feb-2005.SIEMER S, LEHMANN J, LOCH A, BECKER F, STEIN U, SCHNEIDER G, ZIEGLER M and STÖCKLE M (2018) CURRENT TNM CLASSIFICATION OF RENAL CELL CARCINOMA EVALUATED: REVISING STAGE T3aJournal of Urology, VOL. 173, NO. 1, (33-37), Online publication date: 1-Jan-2005.JOHNSON D, SOLOMON S, SU L, MATSUMOTO E, KAVOUSSI L, NAKADA S, MOON T, SHINGLETON W and CADEDDU J (2018) DEFINING THE COMPLICATIONS OF CRYOABLATION AND RADIO FREQUENCY ABLATION OF SMALL RENAL TUMORS: A MULTI-INSTITUTIONAL REVIEWJournal of Urology, VOL. 172, NO. 3, (874-877), Online publication date: 1-Sep-2004.ALLAF M, BHAYANI S, ROGERS C, VARKARAKIS I, LINK R, INAGAKI T, JARRETT T and KAVOUSSI L (2018) LAPAROSCOPIC PARTIAL NEPHRECTOMY: EVALUATION OF LONG-TERM ONCOLOGICAL OUTCOMEJournal of Urology, VOL. 172, NO. 3, (871-873), Online publication date: 1-Sep-2004.MENG M, FREISE C and STOLLER M (2018) LAPAROSCOPIC NEPHRECTOMY, EX VIVO EXCISION AND AUTOTRANSPLANTATION FOR COMPLEX RENAL TUMORSJournal of Urology, VOL. 172, NO. 2, (461-464), Online publication date: 1-Aug-2004.STEPHENSON A, CHETNER M, ROURKE K, GLEAVE M, SIGNAEVSKY M, PALMER B, KUAN J, BROCK G and TANGUAY S (2018) GUIDELINES FOR THE SURVEILLANCE OF LOCALIZED RENAL CELL CARCINOMA BASED ON THE PATTERNS OF RELAPSE AFTER NEPHRECTOMYJournal of Urology, VOL. 172, NO. 1, (58-62), Online publication date: 1-Jul-2004.KOUBA E, TORNEHL C, LAVELLE J, WALLEN E and PRUTHI R (2018) PARTIAL NEPHRECTOMY WITH FIBRIN GLUE REPAIR: MEASUREMENT OF VASCULAR AND PELVICALICEAL HYDRODYNAMIC BOND INTEGRITY IN A LIVE AND ABBATOIR PORCINE MODELJournal of Urology, VOL. 172, NO. 1, (326-330), Online publication date: 1-Jul-2004.SÁNCHEZ-ORTIZ R, ROSSER C, MADSEN L, SWANSON D and WOOD C (2018) YOUNG AGE IS AN INDEPENDENT PROGNOSTIC FACTOR FOR SURVIVAL OF SPORADIC RENAL CELL CARCINOMAJournal of Urology, VOL. 171, NO. 6 Part 1, (2160-2165), Online publication date: 1-Jun-2004.LEIBOVICH B, BLUTE M, CHEVILLE J, LOHSE C, WEAVER A and ZINCKE H (2018) Nephron Sparing Surgery for Appropriately Selected Renal Cell Carcinoma Between 4 and 7 Cm Results in Outcome Similar to Radical NephrectomyJournal of Urology, VOL. 171, NO. 3, (1066-1070), Online publication date: 1-Mar-2004.MABJEESH N, AVIDOR Y and MATZKIN H (2018) Emerging Nephron Sparing Treatments for Kidney Tumors: A Continuum of Modalities From Energy Ablation to Laparoscopic Partial NephrectomyJournal of Urology, VOL. 171, NO. 2, (553-560), Online publication date: 1-Feb-2004.JANETSCHEK G, ABDELMAKSOUD A, BAGHERI F, AL-ZAHRANI H, LEEB K and GSCHWENDTNER M (2018) Laparoscopic Partial Nephrectomy in Cold Ischemia:: Renal Artery PerfusionJournal of Urology, VOL. 171, NO. 1, (68-71), Online publication date: 1-Jan-2004.ITO K, NAKASHIMA J, HANAWA Y, OYA M, OHIGASHI T, MARUMO K and MURAI M (2018) The Prediction of Renal Function 6 Years After Unilateral Nephrectomy Using Preoperative Risk FactorsJournal of Urology, VOL. 171, NO. 1, (120-125), Online publication date: 1-Jan-2004.FRANK I, BLUTE M, CHEVILLE J, LOHSE C, WEAVER A and ZINCKE H (2018) Solid Renal Tumors: An Analysis of Pathological Features Related to Tumor SizeJournal of Urology, VOL. 170, NO. 6, (2217-2220), Online publication date: 1-Dec-2003.GILL I, MATIN S, DESAI M, KAOUK J, STEINBERG A, MASCHA E, THORNTON J, SHERIEF M, STRZEMPKOWSKI B and NOVICK A (2018) Comparative Analysis of Laparoscopic Versus Open Partial Nephrectomy for Renal Tumors in 200 PatientsJournal of Urology, VOL. 170, NO. 1, (64-68), Online publication date: 1-Jul-2003.SIMON S, FERRIGNI R, NOVICKI D, LAMM D, SWANSON S and ANDREWS P (2018) Mayo Clinic Scottsdale Experience With Laparoscopic Nephron Sparing Surgery for Renal TumorsJournal of Urology, VOL. 169, NO. 6, (2059-2062), Online publication date: 1-Jun-2003.SHERIEF M, LOW S, MIURA M, KUDO N, NOVICK A and WEIMBS T (2018) Matrix Metalloproteinase Activity in Urine of Patients with Renal Cell Carcinoma Leads to Degradation of Extracellular Matrix proteins: possible use as a Screening AssayJournal of Urology, VOL. 169, NO. 4, (1530-1534), Online publication date: 1-Apr-2003.ZUCCHI A, MEARINI L, MEARINI E, COSTANTINI E, VIVACQUA C and PORENA M (2018) Renal Cell Carcinoma: Histological Findings on Surgical Margins After Nephron Sparing SurgeryJournal of Urology, VOL. 169, NO. 3, (905-908), Online publication date: 1-Mar-2003.GUILLONNEAU B, BERMÚDEZ H, GHOLAMI S, EL FETTOUH H, GUPTA R, ADORNO ROSA J, BAUMERT H, CATHELINEAU X, FROMONT G and VALLANCIEN G (2018) Laparoscopic Partial Nephrectomy for Reanl Tumor: Single Center Experience Comparing Clamping and No Clamping Techniques of the Renal VasculatureJournal of Urology, VOL. 169, NO. 2, (483-486), Online publication date: 1-Feb-2003.ADKINS K, CHANG S, COOKSON M and SMITH J (2018) Partial Nephrectomy Safely Preserves Renal Function In Patients With A Solitary KidneyJournal of Urology, VOL. 169, NO. 1, (79-81), Online publication date: 1-Jan-2003.MATLAGA B, ZAGORIA R, WOODRUFF R, TORTI F and HALL M (2018) Phase II Trial of Radio Frequency Ablation of Renal Cancer: Evaluation of the Kill ZoneJournal of Urology, VOL. 168, NO. 6, (2401-2405), Online publication date: 1-Dec-2002. (2018) RE: LAPAROSCOPIC RADICAL NEPHRECTOMY: CANCER CONTROL FOR RENAL CELL CARCINOMA: Reply by Authors.Journal of Urology, VOL. 168, NO. 3, (1109-1110), Online publication date: 1-Sep-2002.Ghavamian R, Cheville J, Lohse C, Weaver A, Zincke H and Blute M (2018) Renal Cell Carcinoma in the Solitary Kidney: An Analysis of Complications and Outcome After Nephron Sparing SurgeryJournal of Urology, VOL. 168, NO. 2, (454-459), Online publication date: 1-Aug-2002.UZZO R, CHERULLO E, MYLES J and NOVICK A (2018) Renal Cell Carcinoma Invading the Urinary Collecting System: Implications for StagingJournal of Urology, VOL. 167, NO. 6, (2392-2396), Online publication date: 1-Jun-2002.Rendon R, Kachura J, Sweet J, Gertner M, Sherar M, Robinette M, Tsihlias J, Trachtenberg J, Sampson H and Jewett M (2018) The Uncertainty Of Radio Frequency Treatment Of Renal Cell Carcinoma: Findings At Immediate And Delayed NephrectomyJournal of Urology, VOL. 167, NO. 4, (1587-1592), Online publication date: 1-Apr-2002.SUTHERLAND S, RESNICK M, MACLENNAN G and GOLDMAN H (2018) DOES THE SIZE OF THE SURGICAL MARGIN IN PARTIAL NEPHRECTOMY FOR RENAL CELL CANCER REALLY MATTER?Journal of Urology, VOL. 167, NO. 1, (61-64), Online publication date: 1-Jan-2002.PANTUCK A, ZISMAN A and BELLDEGRUN A (2018) THE CHANGING NATURAL HISTORY OF RENAL CELL CARCINOMAJournal of Urology, VOL. 166, NO. 5, (1611-1623), Online publication date: 1-Nov-2001.RENDON R, GERTNER M, SHERAR M, ASCH M, KACHURA J, SWEET J and JEWETT M (2018) DEVELOPMENT OF A RADIOFREQUENCY BASED THERMAL THERAPY TECHNIQUE IN AN IN VIVO PORCINE MODEL FOR THE TREATMENT OF SMALL RENAL MASSESJournal of Urology, VOL. 166, NO. 1, (292-298), Online publication date: 1-Jul-2001.Freedland S and Belldegrun A (2018) EDITORIAL: TOWARDS KIDNEY CANCER CRYSTAL BALL. BETTER PROGNOSTICATION OF PATIENTS WITH RENAL CELL CARCINOMAJournal of Urology, VOL. 166, NO. 1, (73-74), Online publication date: 1-Jul-2001.UZZO R and NOVICK A (2018) NEPHRON SPARING SURGERY FOR RENAL TUMORS: INDICATIONS, TECHNIQUES AND OUTCOMESJournal of Urology, VOL. 166, NO. 1, (6-18), Online publication date: 1-Jul-2001.CHERULLO E, ROSS J, KAY R and NOVICK A (2018) RENAL NEOPLASMS IN ADULT SURVIVORS OF CHILDHOOD WILMS TUMORJournal of Urology, VOL. 165, NO. 6 Part 1, (2013-2017), Online publication date: 1-Jun-2001.Jarrett T (2018) THE PRESENT AND FUTURE OF LAPAROSCOPIC RENAL AND ADRENAL SURGERYJournal of Urology, VOL. 165, NO. 6 Part 1, (1882-1883), Online publication date: 1-Jun-2001. Volume 163Issue 2February 2000Page: 442-445 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordscarcinomarenal cellnephrectomyMetricsAuthor Information Amr F. Fergany More articles by this author Khaled S. Hafez More articles by this author Andrew C. Novick More articles by this author Expand All Advertisement PDF downloadLoading ...